MS. SARA QASIM BUGHIO M.D
NPI 1578818787
Internal Medicine in Walnut Creek, CA

Active since July 14, 2012PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
1220 ROSSMOOR PKWY, WALNUT CREEK, CA 94595(925) 947-3393 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Sara Qasim Bughio M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SARA QASIM BUGHIO M.D (NPI 1578818787) is an individual internal medicine provider in Walnut Creek, California, licensed in California (A152300) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1578818787
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMS. SARA QASIM BUGHIOCredential: M.D
Location Address1220 ROSSMOOR PKWYWalnut Creek, CA 94595
Mailing Address1450 Treat Blvd # 300Walnut Creek, CA 94597-2168 · (925) 952-2888
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 14, 2012
Last NPPES UpdateAugust 8, 2019
✔ NPI 1578818787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · A152300✔ Licensed in NY · 281346-1
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1220 ROSSMOOR PKWY, Walnut Creek, CA 94595

Secondary Practice Locations 2

Location 11770 Grand Concourse Apt 3BBronx, NY 10457-5561 · Phone (347) 561-0512
Location 22700 Grant St Ste 200Concord, CA 94520-2270 · Phone (925) 674-2609

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Sara Qasim Bughio M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981983095
PECOS Enrollment IDI20180212000882
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Sara Qasim Bughio reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
1601 YGNACIO VALLEY RD
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 810 clinicians in this Medicare group
General Practice
1450 TREAT BLVD, SUITE 300
Walnut Creek, CA 94597
  • Reassigned Medicare billing, California enrollment
  • 650 clinicians in this Medicare group
Hospitalist
14766 WASHINGTON AVE
San Leandro, CA 94578
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
Hospitalist
508 WESTLINE DR
Alameda, CA 94501
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
Internal Medicine
11501 DUBLIN BLVD STE 200
Dublin, CA 94568
  • Reassigned Medicare billing, California enrollment
Internal Medicine
1949 GRANT RD
Mountain View, CA 94040
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
501 services216 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
492 services96 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
143 services99 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
115 services46 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
104 services104 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
58 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94595 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.68
Promoting Interoperability99
Improvement Activities40
Cost70.58

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
91%86 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier15 claims15 services$30.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Family Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Hospitalist
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Qasim Bughio's NPI number?

The NPI number for Sara Qasim Bughio is 1578818787. It was assigned to this individual provider in the NPPES registry on July 14, 2012.

Where is Sara Qasim Bughio located?

Sara Qasim Bughio practices at 1220 Rossmoor Pkwy, Walnut Creek, CA 94595. The listed phone number is (925) 947-3393.

What is Sara Qasim Bughio's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sara Qasim Bughio enrolled in Medicare?

Yes. Sara Qasim Bughio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sara Qasim Bughio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Qasim Bughio reassigns Medicare benefits to 6 organizations: John Muir Trauma Physicians Billing Service (Walnut Creek, CA), John Muir Physician Network (Walnut Creek, CA), Ca Pacs 2 Medical Group Inc (San Leandro, CA), California Post-Acute Medical Group 1, Inc. (Alameda, CA), East Bay Medical Associates Corp (Dublin, CA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sara Qasim Bughio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sara Qasim Bughio was last updated on August 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.